Provider Demographics
NPI:1003002312
Name:HOPKINS, PATRICIA T (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:T
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1843
Mailing Address - Country:US
Mailing Address - Phone:617-773-9198
Mailing Address - Fax:671-769-9952
Practice Address - Street 1:571 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1843
Practice Address - Country:US
Practice Address - Phone:617-773-9198
Practice Address - Fax:671-769-9952
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49846174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAR01119OtherMDICARE
MA3007391Medicaid
MAR01119OtherMDICARE